Individual provider · Type 1 NPI

Sidney Moss

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Houston, TX

NPI number 1679012744 Active

Practice location

2425 Capitol St Apt 2130
Houston, TX 77003-3179

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X32062681260 (TX)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1679012744

Sidney Moss's National Provider Identifier is 1679012744, issued on Feb 21, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Houston, TX. The record was last updated on Feb 21, 2017.